24D2012752 CLIA NUMBER - HY-VEE INC

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Laboratory Demographics

CLIA Number: 24D2012752

Facility Name: HY-VEE INC

Facility Address:
1475 SERVICE DRIVE
WINONA, MN
ZIP 55987
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Facility Phone Number: 507 452-5254

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1740216902

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	24D2012752
LAB Type	Pharmacy
Facility Name	HY-VEE INC
Street	1475 SERVICE DRIVE
City	WINONA
State	MN
ZIP	55987
Phone	507 452-5254
CertificateType	4
CertificateEffectiveDate	9/9/2022
CertificateExpirationDate	9/8/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024